Diba Dastjerdi DMD

NPI 1629273776 - Dentist - 1223G0001X

NPI Details
NPI 1629273776
Gender Female
Enumeration Date 06/19/2007
Last Updated 04/26/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
68 NEW EDGERLY ROAD
BOSTON MA, 02115, US
Phone (617) 262-5880
Fax (617) 859-8804
Business Location
68 NEW EDGERLY ROAD
BOSTON MA, 02115, US
Phone (617) 262-5880
Fax (617) 859-8804
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 21835
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According to our database, Diba Dastjerdi DMD NPI is 1629273776, taxonomy code is 1223G0001X and license number is 21835, license state is located at Massachusetts. Diba Dastjerdi DMD physically located at 68 New Edgerly Road, Boston MA, 02115. NPI Number Diba Dastjerdi DMD has the Individual type.

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1629273776 NPI number is provided on an as is basis without warranty of any kind. 1629273776 is maintained by the National Plan & Provider Enumeration System. The contents of Diba Dastjerdi DMD are for informational purposes only.